Organization
MERCER COUNTY BEHAVIORAL HEALTH COMMISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE HETRICK (IT DIRECTOR)
(724) 662-1550
Entity
Organization
Contact information
Practice address
8406 SHARON MERCER RD, MERCER, PA 16137-3138
(724) 662-1550
(724) 662-1557
Mailing address
8406 SHARON MERCER RD, MERCER, PA 16137-3138
(724) 662-1550
(724) 662-1557
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
100076770004
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000076770004
PENNSYLVANIA PROMISE ID FOR MEDICAL ASSISTANCE PROVIDERS
PA
Enumeration date
03/04/2010
Last updated
07/09/2020
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